As a veteran of the managed care industry, I am well aware of the challenge health plans face with the complexities of the risk adjustment process. I believe that Babel Health offers an elegant and simplified solution for data extraction and submission which is superior to those offered by other risk adjustment vendors. Babel Health can help health plans ensure that they get paid appropriately for the members they insure.
Richard C. Zoretic retired in May, 2014 as Executive Vice President of WellPoint, Inc. and President of the company’s Government Business Division (GBD), a $34 billion business encompassing WellPoint’s Medicaid, Medicare, CareMore and Federal Employee Program businesses. In this capacity, Mr. Zoretic was responsible for approximately half of WellPoint’s annual revenue and one quarter of corporate earnings.
Prior to joining WellPoint, Mr. Zoretic served as Chief Operating Officer of Amerigroup Corporation from 2007 to 2012, where he had overall responsibility for company operations including local health plans, medical management programs, provider networks, health care analytics, information technology and customer service operations. Mr. Zoretic joined Amerigroup in 2003 initially as Chief Marketing Officer and assumed responsibility for health plan operations in 2005.
As COO of Amerigroup, Mr. Zoretic was the operational leader for the enterprise transforming the company’s operational and financial performance during his tenure. Under his leadership, Amerigroup grew from 1.3 million members to 2.7 million members from 2007 to 2012. Annual revenue grew from $2.8 billion to $8.7 billion and Amerigroup’s market capitalization rose from $1.9 billion to $4.9 billion.
Following WellPoint’s acquisition of Amerigroup in 2012, Mr. Zoretic initially led the successful integration of Amerigroup and WellPoint’s Medicaid businesses. Subsequently, Mr. Zoretic was appointed President of WellPoint’s GBD where he implemented a comprehensive business plan to improve performance in both the Medicaid and Medicare businesses. These initiatives repositioned WellPoint’s government business and set the stage for future growth in membership, revenue and operating income.
Mr. Zoretic began his career in 1980 with MetLife’s Group Life & Health operations, where he held a series of positions of increasing responsibility over a 13-year period. From 1994 to 2000, he held senior leadership positions at UnitedHealth Group, including Senior Vice President of United Healthcare’s mid-Atlantic operations and President of the company’s commercial middle market business segment. He later served as a management consultant in Deloitte Consulting’s health care practice prior to joining Amerigroup.
In addition to serving on Babel Health’s board, Mr. Zoretic currently serves on the boards of Aveanna Healthcare, Molina Health and Kepro. He previously served as a member of the Board of Visitors for Eastern Virginia Medical School (EVMS) as well as Chairman of the Board of EVMS Health Services, a fully integrated multi-specialty physician practice affiliated with the medical school. In addition, he has served on the boards of HealthSun Health Plans, Inc., Landmark Health, Families of Autistic Children of Tidewater (FACT), Cape Henry Collegiate School in Virginia Beach, and the Hampton Roads Business Roundtable.